Superior Oxygen and Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SUPERIOR OXYGEN AND MEDICAL SUPPLY, INC.

Practice address

438 N Duke St
Lancaster, PA 17602-4927

Phone

(717) 509-0202

Fax

(717) 509-0205

NPI assigned

May 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas C Byerly

Title

President/Owner

Phone

(610) 371-0202

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Superior Oxygen and Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Reading, PA
  • NPI 1528168846

  3274650205

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Superior Oxygen and Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Superior Oxygen and Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Reading, PA
  • NPI 1528168846
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1174900633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024927",
            "telephone_number": "717-509-0202",
            "fax_number": "717-509-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024927",
            "telephone_number": "717-509-0202",
            "fax_number": "717-509-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR OXYGEN AND MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-371-0202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Renee Sullivan, LAMFT
• Timothy Eric Sullivan Jr., PA-C
• Cashai Sumpter
• Sun Point Foundation, Inc.
• Sun Point Wellness Center, LLC
• Karen Anne Suppi, CRNA
• Edward William Supple, M.D.
• Supports Coordination Group, LLC
• Surgery Center of Lancaster, LLC
• Kaitlyn Surrett

• Oxygen Equipment & Supplies (DME) in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.